Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Mary A Costello, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1548426414

Mrs. Mary A Costello, ANP is an Adult Health Nurse Practitioner in New York, New York. Practices as a sole proprietor and works from 3 locations. Licensed in Colorado, North Carolina, Oregon and Wisconsin.

Licensed in
CO, NC, OR, WI
In the registry since
2008
Specialties on file
4
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Practice location Address checks out

525 E 68th St Ste M404
New York, NY 10065-4870
Phone: (212) 746-5156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3311 Riverbend Dr, Springfield, OR 97477-8800 — (541) 222-2868
  • 2801 W Kk River Pkwy Ste 680, Milwaukee, WI 53215-3633 — (414) 385-1922

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 100193 (WI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 201508795NP-PP (OR)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence C-APN.0001649-C-NP (CO)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 5004075 (NC)

Record details

NPI number1548426414
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorYes
NPI enumeratedJuly 31, 2008
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024

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